MRS. JESSICA MARIE CLOUTIER (NPI# 1588994701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588994701 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA MARIE CLOUTIER |
| Other Name | JESSICA CHAMBERLIN |
| Credential | M.A., LPC |
| Practice Address |
640 3 Mile Rd Nw Grand Rapids MI 49544-8209 |
| Mailing Address |
1939 Division Ave S Grand Rapids MI 49507-2459 |
| Practice Telephone | 6167858900 |
| Mailing Telephone | 6162473815 |
| Mailing Fax Number | 6162450450 |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
6401011184 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4483587 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1939 Division Ave S, Grand Rapids, MI 495072459 | 6162473815 | 6162450450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275922510 | Jessica Marie Cloutier | Student in an Organized Health Care Education/Training Program | 46 Tolpa Ct, Chicopee, MA 01020-4723 | 2015-01-09 |
| 1396996633 | Jessica Marie Cloutier | Behavioral Analyst | 13553 Atlantic Blvd, Jacksonville, FL 32225 | 2008-10-06 |
| 1922148246 | Jessica Lynn Cloutier | Physical Therapist | 1205 Monument Rd, Suite 202, Jacksonville, FL 32225-7406 | 2007-02-07 |
| Street Address |
640 3 MILE RD NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49544-8209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518971795 | William Charles Padding | Social Worker | 640 3 Mile Rd Nw, Suite 101, Grand Rapids, MI 49544-8209 | 2006-07-27 |
| 1295072320 | Cynthia L Kimball, Lmsw, Acsw, Achp-sw, Plc | Social Worker | 640 3 Mile Rd Nw, Suite 101, Grand Rapids, MI 49544-8209 | 2013-01-09 |
| 1396081253 | William C Padding, Lmsw, Acsw, PC | Social Worker | 640 3 Mile Rd Nw, Suite 101, Grand Rapids, MI 49544-8209 | 2012-12-21 |
| 1699010298 | Cynthia Louise Kimball | Social Worker | 640 3 Mile Rd Nw, Suite 101, Grand Rapids, MI 49544-8209 | 2012-12-07 |
| 1922123645 | Jon S Bos | Clinical Neuropsychologist | 640 3 Mile Rd Nw, Suite 101, Grand Rapids, MI 49544-8209 | 2007-03-20 |
| 1073648960 | Rhonda Anne Hill | Counselor | 640 3 Mile Rd Nw, Suite 101, Grand Rapids, MI 49544-8209 | 2007-02-22 |
| 1649378050 | Margaret Ruth Kos | Counselor | 640 3 Mile Rd Nw, Suite 101, Grand Rapids, MI 49544-8209 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| Find all providers in zip 49544 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020558 | Danita Mcalister | Counselor | 2504 Normandy Dr Se Apt 213b, Grand Rapids, MI 49506-7901 | 2020-10-16 |
| 1013521574 | Megan Flier | Counselor | 3744 Bradford St Ne, Grand Rapids, MI 49525-3325 | 2020-09-02 |
| 1457962078 | Cappon Consulting LLC | Counselor | 1344 Mayfield Ave Ne, Grand Rapids, MI 49505-5525 | 2020-08-17 |
| 1124644596 | Travis James Atkinson | Counselor | 3000 Wausaukee Dr Ne, Grand Rapids, MI 49525-1916 | 2020-06-22 |
| 1639790207 | Tracey Wicks | Counselor | 78 Centerbrook St Se, Grand Rapids, MI 49548-6902 | 2020-05-05 |
| 1174160592 | Lindsey Elizabeth Rosa | Counselor | 845 5th St Nw Apt 2, Grand Rapids, MI 49504-5163 | 2019-12-04 |
| 1710530597 | New Way Counseling LLC | Counselor | 1971 E Beltline Ave Ne Ste C, Grand Rapids, MI 49525-7045 | 2019-07-19 |
| 1588216048 | Kate Jack | Counselor | 3351 Claystone St Se Ste G32, Grand Rapids, MI 49546-5794 | 2019-07-15 |
| 1104488105 | Travis Gordon | Counselor | 800 Monroe Ave Nw Ste 319, Grand Rapids, MI 49503-1451 | 2019-07-01 |
| 1255996575 | The Family Therapy Place Pllc | Counselor | 731 Front Ave Nw, Grand Rapids, MI 49504-5366 | 2019-05-02 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
Please comment or provide details below to improve the information on MRS. JESSICA MARIE CLOUTIER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.